Everything you need to know about ECGs in the Emergency Department
After a long hiatus, Rhythm Nation is back with our first post of 2019! Thanks to Dr. Angarita-Jones for submitting this ECG for the post. The patient is a 50-year-old man with hypertension, diabetes, hyperlipidemia who presents after syncope. His wife states that they were watching Game of Thrones when Read more…
A 65-year-old male with history of diabetes mellitus type 2, hypertension, and hypothyroidism presented to the ED with nausea and vomiting that began that morning. He also reported generalized weakness and decreased exercise tolerance. Upon initial presentation, the patient had a heart rate of 109 per minute, blood pressure 107/68 Read more…
Smruti Desai, DO/MPH It is one of your last shifts as an intern, and after a year of wondering if you will get any taller, you finally have the elusive factor known as a linear thought process. You confidently sit back in your chair with this thought, and take Read more…
Not many takers for November’s post, but a solid A+ to Dr. Birnbaum, one of our own 4th year clinical monsters. This month we have a case of Wellens’ Syndrome. Below you will find the answers to the questions in our last post as well as the hospital course of Read more…
Rhythm Nation returns with another ECG from University Hospital of Brooklyn at SUNY Downstate Medical Center. Case: 52-year-old man with past history of of Hypertension, Diabetes mellitus, and Hyperlipidemia who presented with chest pain. HPI: The patient’s chest pain started two days ago, has been intermittent, and is Read more…
Not a lot of takers on this tough ECG. Here’s some insight. Initial ECG: Sinus tachycardia, LAD, 1st degree AVB, RBBB Repeat ECG: NSR, LAD, 1st degree AVB, RBBB, TWI in V4-V6 A Closer Look At The Case Our patient presented with a worsening headache with associated altered mental status. Read more…
Faithful Bloggers! Rhythm Nation is back from its brief hiatus for another installment of critical analysis of the ECGs seen at King’s County. 76M, past history of HTN, dyslipidemia, Stage III CKD, presents with headache and AMS. Concerned family members bring this gentleman into your emergency department. At baseline, they Read more…
ECG: NSR @ 90 bpm, normal axis, S1Q3T3 pattern BACKGROUND S1Q3T3 was first described in 1935 in JAMA by Drs. McGinn & White They report a case series of 9 patients with pulmonary embolism (PE) and “acute cor pulmonale” and the ECG findings in 7 of those patients. 5 Read more…
It’s Sunday morning 10 am and a patient finally pops up on the whiteboard: “19 Y M, CHEST PAIN.” Your favorite. The patient is a 19 year-old man with no PMH BIBEMS with chest pain. He lifted weights yesterday, and this morning woke up with soreness in his mid chest Read more…
ECG: Sinus Bradycardia, Left Axis Deviation, Possible Trifascicular Block (Mobitz I, RBBB, LAFB) Great discussion of an interesting ECG. Let’s talk blocks! The Clinical Monster on this case did just that, and our patient is happily walking around Brooklyn, pacemaker in place. Wenckebach Read more…